"Not so FAST" - Dr. Bialeck
24 YO M MVC with normal vitals, no ab ttp, + Humerus FX
First "quick glance" of the FAST ....
Free Fluid or no free fluid?
Where do we look for free fluid in the RUQ?
Is there a “distracting” injury?
FAST doesn’t mean go FAST… Slow down, especially in the bladder view where subtle free fluid can be missed.
The FIRST place where fluid may accumulate in the RUQ is the inferior pole of the right kidney/liver tip.
Isolated view of Morrison’s pouch may not be sufficient!
“Distracting Injury” can be subjective.